Female, 30 years old, with uncontrolled Diabetes, Single Mother of 3 Children (female 2yrs, male 5yrs, male 13 yr.), patient is undocumented with no insurance coverage. The patient stated that she has been struggling to purchase enough food for her family in the last 3 months.  Pt works full time and receives cash payments. Uses public transportation, Spanish Speaking.
What social determinants is she having trouble with?
What goals would you assist the patient with?

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